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1275835852
STEPHANIE ANN RIVERS
MARIETTA, GA
NPI
1275835852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 6001)
Enumeration Date
2010-12-02
Last Update Date
2012-04-11
Business Address
-- STEPHANIE ANN RIVERS PA
61 WHITCHER STREET NE SUITE 2100
MARIETTA, GA 30060-1179
Phone number: 770-423-0595
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Mailing Address
-- STEPHANIE ANN RIVERS PA
1505 STONEBRIDGE PARKWAY SUITE 100
WOODSTOCK, GA 30189-8282
Phone number: 770-423-0595
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